Fike, Russell David

Fike, Russell David is an individual health care provider with primary practice located at 18200 W 119Th St , Olathe KS 66061-9507. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fike, Russell David can be contacted via phone (913) 355-8350.

Contact Information

Primary practice address
18200 W 119Th St Olathe KS 66061-9507
Phone: (913) 355-8350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 56568 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-02556 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 56568 California

Profile Details

NPI number 1891252680
LBN Legal business name Fike, Russell David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2019
Last updated Nov 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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